300例支原体性阴道炎合并病原微生物感染分析

Analysis on mycoplasma vaginitis complicated with pathogenic microorganism infection in 300 cases

目的探讨郑州市中医院门诊女性生殖道解脲支原体(UU,后简称支原体)阳性阴道炎同时合并病原微生物的感染情况。为临床综合治疗、防止复发、关爱女性生殖健康提供理论依据。方法采用回顾性的研究方法,采用简单随机抽样法,抽取郑州市中医院门诊2018年7~9月诊断为女性支原体性阴道炎的患者300例,对合并病原微生物感染情况进行分析。结果300例支原体性阴道炎患者年龄20~60岁;病程7~180d,解脲支原体阳性伴发念珠菌性外阴阴道炎(VVC)39例,占比13.0%,沙眼衣原体(CT)性阴道炎3例,占比1.0%,细菌性阴道炎(BV)66例,占比22.0%,滴虫性阴道炎(TV)5例,占比1.7%,其余均为单纯性支原体感染187例,占比62.3%。结论在单独确诊和治疗支原体性阴道炎时应考虑合并其他病原微生物感染,进一步实验室确证后进行联合治疗,防止复发,关爱女性生殖健康。

Objective To explore the infection of ureaplasma urealyticum(UU)positive vaginitis combined with pathogenic microorganism infection in female genital tract in outpatient department of Zhengzhou Hospital of Traditional Chinese Medicine so as to provides theoretical basis for clinical comprehensive treatment,prevention of recurrence and care for female reproductive health.Methods Using retrospective research method,300 female patients who were diagnosed as mycoplasma vaginitis from July 2018 to September 2018 in Zhengzhou Hospital of Traditional Chinese Medicine were selected by simple random sampling method.The infection of the combined pathogenic microorganisms was analyzed.Results 300 cases of mycoplasma vaginitis were aged from 20 to 60 years and the course of disease was 7 to 180 days.There were 39 cases of ureaplasma urealyticum(UU)positive complicated with vulvovaginal candidiasis,accounting for 13%.There were 3 cases of ureaplasma urealyticum(UU)positive complicated with chlamydia trachomatis(CT),accounting for 1%.There were 66 cases of ureaplasma urealyticum(UU)positive complicated with bacterial vaginitis(BV),accounting for 22%.There were 5 cases of ureaplasma urealyticum(UU)positive complicated with trichomonas vaginitis(TV),accounting for 1.7%.The rest were 187 cases of simple mycoplasma infection,accounting for 62.3%.Conclusion In the diagnosis and treatment of mycoplasma vaginitis alone,other pathogenic microbial infections should be considered.After further laboratory confirmation,combined treatment should be carried out to prevent recurrence and care for female reproductive health.